Individual
DELRAY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 MIDDLEBURG ST, LIBERTY, KY 42539-3004
(606) 787-9472
(606) 787-7344
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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